Why are axillary lymph nodes removed during a mastectomy?

Why are axillary lymph nodes removed during a mastectomy?

To help find out if the cancer has spread outside the breast, one or more of the lymph nodes under the arm (axillary lymph nodes) are removed and checked in the lab. This is an important part of staging.

Which lymph nodes are surgically removed with a mastectomy?

Radical mastectomy is the most extensive type of mastectomy: The surgeon removes the entire breast. Levels I, II, and III of the underarm lymph nodes are removed (B, C, and D in illustration). The surgeon also removes the chest wall muscles under the breast.

What is the long term side effect associated with mastectomy when lymph nodes are removed?

Lymphoedema. Breast cancer surgery and removal of axillary lymph nodes increases the risk of lymphoedema, a chronic swelling of the affected arm. It may also develop in the breast, chest wall or back.

How many lymph nodes are removed in an axillary node dissection?

The axillary dissection is performed simultaneously during a mastectomy surgery and is usually carried out under general anesthesia. The surgeon makes an incision under the arm and removes 10-40 lymph nodes from level I and II.

Are all lymph nodes removed in axillary dissection?

An operation to remove most or all of the lymph nodes under the arm is called an axillary lymph node dissection or axillary clearance. You have a general anaesthetic for this operation. You will be asleep the whole time. The surgeon makes a small cut in your armpit to remove the lymph nodes.

How long does it take to heal from lymph node removal in armpit?

You will probably be able to go back to work or your normal routine in 3 to 6 weeks. It will also depend on the type of work you do and any further treatment. You may be able to take showers (unless you have a drain in your incision) 24 to 48 hours after surgery. Pat the cut (incision) dry.

How serious is lymph node surgery?

Lymphoedema happens when your lymphatic system can’t transport lymph fluid around your body properly. Having surgery to remove lymph nodes can disrupt your lymphatic system, and cause a build-up of lymph. The lymph may collect in your tissues and cause swelling.

Is a mastectomy considered major surgery?

Mastectomy is considered a major surgery for the below reasons: The procedure involves permanent removal of either one or both breasts, which itself is a major risk factor. Usually, the procedure may last up to 4 hours depending on the severity of the disease. It is performed under general anesthesia.

How many lymph nodes are in your armpit?

The number of axillary lymph nodes can vary from person to person, ranging from five nodes to more than 30. After a breast cancer diagnosis, a doctor will often check whether cancer cells have spread to the axillary lymph nodes.